Glandorf Vision Group Inc. is a medicare enrolled "Optometrist" provider in Glandorf, Ohio. Their current practice location is
102 Dr Thatye Drive, Glandorf, Ohio. You can reach out to their office (for appointments etc.) via phone at
(419) 538-6273.
Glandorf Vision Group Inc. is licensed to practice in Ohio (license number 2916) and it also participates in the medicare program. Glandorf Vision Group Inc.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1457406696.
Healthcare Provider's Profile
| Full Name | Glandorf Vision Group Inc. |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 102 Dr Thatye Drive, Glandorf, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1457406696
- Provider Enumeration Date: 01/25/2007
- Last Update Date: 07/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 7517085285
- Enrollment ID: O20150211001912
Medical Identifiers
Medical identifiers for Glandorf Vision Group Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457406696 | NPI | - | NPPES |
| 30140272400 | Other | OH | BWC |
| 410037333 | Other | OH | RAILROAD MEDICARE |
| 000000140764 | Other | OH | ANTHEM BCBS |
| 0179266 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 2916 (Ohio) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Glandorf Vision Group Inc. acts as a billing entity for following providers:
| Provider Name | Jesselyn E Michaud |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1437531050
PECOS PAC ID: 6406168905
Enrollment ID: I20150710001600 |
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| Provider Name | Lindsey Kentner |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1396115606
PECOS PAC ID: 6204114424
Enrollment ID: I20190607001877 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Glandorf Vision Group Inc. is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Glandorf Vision Group Inc.
Po Box 20,
Glandorf, OH 45848-0020
Ph: (419) 538-6273 | Glandorf Vision Group Inc.
102 Dr Thatye Drive,
Glandorf, OH 45848-0020
Ph: (419) 538-6273 |
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